| NPI | 1932157286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-073803) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02001017A) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-07-27 |